Evidence map›Paper›PMID 34734053›Full record

ArticleWorld journal of clinical cases2021

Chronic hepatitis-C infection in COVID-19 patients is associated with in-hospital mortality.

Diana Ronderos, Alaa Mabrouk Salem Omar, Hafsa Abbas, Jasbir Makker, Ahmed Baiomi, Haozhe Sun, Nikhitha Mantri, YongsuN Choi, Ked Fortuzi, Dongmin Shin and 2 more

Open access · diamondAbstract read
In one paragraph

Article in World journal of clinical cases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 44 citations in OpenAlex.

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  11. Outcomes of COVID-19 among patients with liver disease.World journal of gastroenterology · 2023
    Review
  12. COVID-19 and the liver: Are footprints still there?World journal of gastroenterology · 2023
    Review
  13. Review
  14. COVID-19: Has the Liver Been Spared?International journal of molecular sciences · 2023
    Review
  15. COVID-19 and the Liver: A Complex and Evolving Picture.Hepatic medicine : evidence and research · 2023
    Article
  16. Review
  17. Review
  18. Article
  19. SARS-CoV-2 infection and liver involvement.Hepatology international · 2022
    Review
  20. Mortality Predictors in Severe SARS-CoV-2 Infection.Medicina (Kaunas, Lithuania) · 2022
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Diana RonderosDepartment of Internal Medicine, BronxCare Hospital Center, Bronx, NY 10457, United States.
Alaa Mabrouk Salem OmarDepartment of Cardiology, Mount Sinai Morning Side, New York, NY 10023, United States.
Hafsa AbbasDivision of Gastroenterology, Department of Medicine, BronxCare Health System, Bronx, NY 10457, United States.
Jasbir MakkerDivision of Gastroenterology, Department of Medicine, BronxCare Health System, Bronx, NY 10457, United States.
Ahmed BaiomiDivision of Gastroenterology, Department of Medicine, BronxCare Health System, Bronx, NY 10457, United States.
Haozhe SunDepartment of Internal Medicine, BronxCare Hospital Center, Bronx, NY 10457, United States.
Nikhitha MantriDepartment of Internal Medicine, BronxCare Hospital Center, Bronx, NY 10457, United States.
YongsuN ChoiDepartment of Internal Medicine, BronxCare Hospital Center, Bronx, NY 10457, United States.
Ked FortuziDepartment of Internal Medicine, BronxCare Hospital Center, Bronx, NY 10457, United States.
Dongmin ShinDepartment of Internal Medicine, BronxCare Hospital Center, Bronx, NY 10457, United States.
Harish PatelDivision of Gastroenterology, Department of Medicine, BronxCare Health System, Bronx, NY 10457, United States.
Sridhar ChilimuriDepartment of Internal Medicine, BronxCare Hospital Center, Bronx, NY 10457, United States. chilimuri@bronxcare.org.
Bronx-Lebanon Hospital Center · USMontefiore Health System · USMemorialCare Health System · USMount Sinai Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is little evidence about the association of pre-existing hepatitis C infection (HCV) with outcomes in patients with coronavirus disease 2019 (COVID-19).

aimTo assess the prevalence of history of HCV among patients with COVID-19 and to study the relationship of in-hospital mortality in relation with other predictors of poor outcomes in the presence or absence of COVID-19 induced acute liver injury.

methodsIn a retrospective single-center study design, 1193 patients with COVID-19 infection were studied. Patients were then classified into those with and without a history of HCV, 50 (4.1%) and 1157 (95.9%) respectively.

resultsMultivariate cox-regression models showed that age, HCV, D-Dimer, and ferritin were the only predictors of in-hospital mortality. Acute liver injury and fibrosis score (Fib-4 score) were not different between both groups. Multivariate cox-regression model for liver profile revealed that aspartate aminotransferase/ alanine aminotransferase ratio, Fib-4 score, and HCV were predictors of in-hospital mortality. After propensity score matching HCV was the only predictor of mortality in the multivariate cox-regression model. A model including HCV was found to add predictive value to clinical and laboratory parameters.

conclusionIn patients with COVID-19, history of HCV infection leads to an accentuated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virulence, irrespective of baseline comorbidities, admission laboratory variables, or COVID-19-induced liver injury, which may be related to extrahepatic effects of HCV leading to enhanced ACE-2/TMPRSS mechanisms of SARS-CoV-2 viral entry, baseline cytokine-mediated pro-inflammation, and endothelial dysfunction.

Indexed as

Acute liver injuryCOVID-19Hepatitis CMortalitySeropositive

Identifiers

PMID34734053
PMCPMC8546815
OpenAlexW3206497729

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.